摘要
目的了解肝硬化患者并发感染的临床特点及相关因素。方法采用回顾性调查方式收集我院肝硬化病例共300例,其中肝硬化并发感染者150例,肝硬化无感染者150例,调查内容包括临床症状、实验室检查、影像学检查等,采用卡方检验、秩和检验及t检验等统计方法进行数据处理。结果肝硬化并发感染以呼吸道(43.33%)和腹腔(42.67%)为多;培养出的病原菌以真菌和大肠杆菌较多;感染组平均住院天数、平均白细胞计数、有腹水患者数、大便异常患者数、存在并发症患者数及肝功能C级患者数均多于非感染组;感染组血清白蛋白含量和血钠含量低于非感染组。结论肝硬化患者易并发多部位感染,其感染与住院天数、有无腹水、大便异常、白细胞计数、低蛋白血症、低钠血症、存在并发症、Child-Pugh分级有关。
Aim To find out the clinical features and related factors of infections in patients with liver cirrhosis.Methods 300 patients were enrolled in this study and they were allocated to an infection group（150 cases）and a control group（150 cases）.The related factors of infections in patients with liver cirrhosis are studied by chi-square test,two-sample test and nonparametric statistics.Results The most frequent locations of infections are aspiratory tract（65 cases,43.33%）and abdominal cavity（64 cases,42.67%）.The most common pathogens that are isolated are fungus and Escherichia coli.Eight exposures including length of stay in hospital,Child-Pugh level,development of complication,decreased serum albumin level,leukocyte count,serum sodium level,ascites and abnormal stool are different between two groups.Conclusion Patients with live cirrhosis are inclined to get multi-location infections.Eight exposures,including length of stay in hospital,Child-Pugh level,development of complication,decreased serum albumin level,leucocyte count,serum sodium level,ascites and abnormal stool,are confirmed as related factors of infections in patients with liver cirrhosis.
出处
《安徽医药》
CAS
2010年第6期675-677,共3页
Anhui Medical and Pharmaceutical Journal
关键词
肝硬化
感染
危险因素
liver cirrhosis
infection
related factors
